Title Page
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Conducted on
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Location
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Prepared by
Job Safety Analysis (JSA)
Job Task Being Assessed
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Job description
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Select job type
- Splicing
- Hauling
- Testing
- DCAF / Rod & Rope
- Civils
- Audits
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List employees being observed during JSA
- Matt Fotek
- Rod Fotek
- Matt Klingberg
- Robbie Schofield
- Nathan Van Hecke
- Craig Maloooo
- Glen Housego
- Nathan Carr
- Cameron Harvey
- Mick Bellotti
- Mackenzie Lund
- Brandon Lund
- Brendon Giles
- Kelly Campbell
- Josh Arnold
- Dave Macdonald
- Adam Danvers
- Oliver Croke
- Jacob Cool
- Ben Burford
Tasks, Hazards and Preventive Measures
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1) Break a job down into smaller tasks and observe a worker performing it
2) Click + to add a "Job Step" and fill in the relevant information
3) Identify the potential hazards for each task
4) Determine preventive measures and controls to overcome these hazards
Job Step
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Potential risk or hazard identified while task is being performed (select all that apply)
- Manual Handling
- Pedestrian Traffic Control
- Road Traffic
- Confined Spaces
- Laser Radiation
- Noise
- Sharps
- UV
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Enter other potential risk/s identified
- Manual Handling
- Pedestrian Traffic Control
- Road Traffic
- Confined Spaces
- Laser Radiation
- Noise
- Sharps
- UV
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Rate risk/ hazard before control measures
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Take a photo of step/ activity (Optional)
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Hazard Control Measures
- Correct Lifting Technique / Trolley
- Manhole Guards / Signages
- High Vis Clothing
- Traffic Control
- Assume all fibre is LIVE
- Hearing protection
- Correct Fibre shard disposal
- Wide Brim Hat / Sunscreen
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Administrative Controls
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Personal Protective Equipment
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Other preventive measures
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Explanation of control measures
Completion
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Full Name and Signature of Inspector
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Full Name and Signature of Health and Safety Committee Member
